Provider Demographics
NPI:1255733572
Name:MASIH, ASHER (PA)
Entity type:Individual
Prefix:
First Name:ASHER
Middle Name:
Last Name:MASIH
Suffix:
Gender:M
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:825 NORTHERN BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5321
Mailing Address - Country:US
Mailing Address - Phone:516-773-7500
Mailing Address - Fax:516-773-7575
Practice Address - Street 1:825 NORTHERN BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5321
Practice Address - Country:US
Practice Address - Phone:516-773-7500
Practice Address - Fax:516-773-7575
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-17
Last Update Date:2015-01-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY018046363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant